Basic Skills
The client has sustained a motorcycle accident and is admitted to the intensive care unit in a coma. The spouse states that the client wears contact lenses. Which question is most important for the nurse to ask? - "Does the client wear hard or soft contact lenses?" - "Is the client far or near sighted?" - "Why would the client wear contact lenses while riding a motorcycle?" - "Did you bring the client's lens case to the hospital?"
A
The client is complaining of severe abdominal pain. The nurse needs to assess the client's respirations. Which action should the nurse implement first? - Wait for at least 15 minutes prior to assessing the client's respirations - Report any abnormal findings to the charge nurse - Count the respirations for 30 seconds and multiply the result by two (2) - Hold the client's wrist after assessing the radial pulse and assess the client's respirations.
A
The client is on Contact Precautions and the unlicensed assistive personnel (UAP) is preparing to give the client a bath and change the linens. Which action by the UAP would be most appropriate? - The aide stops outside the room and dons a gown and unsterile gloves - The aide gathers some of the supplies needed before entering the room - The aide picks up the gown by the hem and allows it to touch the floor - The aide dons unsterile gloves and a mask before entering the room
A
The nurse assesses vital signs on the following clients. Which vital sign should be reported to the health care provider? - The older adult who has a blood pressure of 182/100 - The adult who has a respiratory rate of 20 - The preschooler who has a tympanic temperature of 98.8 - The new born who has an apical pulse rate of 110.
A
The nurse is ambulating a client down the hall. Which statement is the most important consideration when ambulating the client? - The client's elbow should be slightly flexed - The client's elbow should be remain straight - The straight cane provides the most support - The quad cane provides the least support.
A
The nurse is applying antiembolism stockings to a client on bed rest. Which action should the nurse implement? - Gather or roll the stocking prior to putting over ankle. - Make sure the hole is on the top of the client's foot. - Place the client in the prone position with legs vertical. - Put the sleeve directly over the popliteal artery.
A
The nurse is assessing a client prior to transfer. Which assessment data is most important when transferring a client from the bed to the chair? - Can the client provide assistance? - Can the client bear weight? - Does the client cooperate and follow instructions? - How much does the client weigh?
A
The nurse is assisting her immobilized client with eating his breakfast. Which guideline can the student nurse implement to increase her clients appetite? - Relieve his pain with pain meds prior to mealtime - Check clients tray for accuracy before serving his breakfast - Assist in providing oral care after his meal - Place in upright position in bed or chair
A
The nurse is assisting the client with a weak left side to ambulate down the hall. Which action should the nurse implement? - Place closed toed rubber sole shoes on the client. - Stand in front of the client when ambulating. - Place a vest restraint on the client prior to ambulating. - Request another nurse to help ambulate the client.
A
The nurse is discharging the client home that will be using crutches for six to eight weeks. Which question is most important for the nurse to ask the client? - Are there obstructions in the passageways or throw rugs? - Does the home have an elevated toilet seat and adequate lighting?- Is the client able to use the tripod stance? - Does the client use axillary or Lofstrand crutches?
A
The nurse is giving a back massage to a client. Which type of stroke promotes circulation? - Petrissage - Effleurage - Tapotement - Friction.
A
The nurse is preparing to give the client a bed bath. Which intervention should the nurse implement first? - Prepare the supplies and work area. - Turn the client to the side when changing the linens. - Encourage the client wash the face and arms. - Keep the client covered as much as possible.
A
The nurse is removing dentures from a client's mouth. Which statement is the scientific rationale for using gauze squares to remove a client's dentures? - It prevents the fingers from slipping - It can used to clean the dentures if no toothbrush is available - It prevents cross contamination of bacteria from one client to another - It keeps the nurse's gloves clean.
A
The nurse is taking a rectal temperature on the client. Which intervention should the nurse implement first? - Place the client in the left Sims position - Lubricate the bulb of the thermometer with Vaseline - Gently insert the thermometer about 3 inches into the rectum - Hold the thermometer in place for 2-4 minutes.
A
The nurse knows that which action best relaxes a client during a massage? - Long, smooth, continuous strokes - Short, quick strokes - Jerking motion - Smooth, firm strokes
A
The nursing instructor is demonstrating the proper technique in removing soft contact lenses. Which statement by the nurse is correct? - Pull down on lid and place index fingertip on lower edge lens to reduce risk of damage to the cornea - Make sure to move lens down medially to the iris before pinching - Ask client the look down and to the side before removing the lens - Ask client to blink and the lends should fall in your hand
A
The student nurse took the adult client's with a tympanic thermometer. The client's temperature is 97.8 F. Which action should the student nurse implement? - Document the temperature as normal - Notify the charge nurse of the elevated temperature - Take the client's temperature orally - Wait and recheck the temperature in 10 minutes.
A
When applying a spiral reverse turn bandage onto a clients forearm, which action should the nurse implement first? - Assess the forearm to be bandaged - Begin bandaging distally, wrapping inward - Apply powder to forearm - Using a pillow, position the clients arm for comfort
A
The nurse is performing mouth care to an unconscious client. The nurse is aware that aspiration is a priority complication because of which of the following reasons? - Flexion of the neck - Depressed gag and swallow reflex - Lack of cough - Extension of the neck
B
The nurse is providing care to a group of clients requiring the measurement of intake and output. Which action should the nurse implement? - Measure 200 ml of urinary output using a medicine cup - Assess to determine if client's intake is approximately equal to output - Weigh diapers by adding the weight of the soiled diaper with the weight of a clean diaper in grams - Record and document I & O every 48 hours to determine any imbalances.
B
The nurse is providing oral care to an unconscious client. Which intervention should the nurse implement first? - Place the client in the lateral position - Wash the hands and don unsterile gloves - Use a padded tongue blade to open client's mouth - Swab the inside of the mouth with a sponge swab.
B
The nurse makes sure that the newly made bed has no creases or wrinkles. Which rationale best supports the nurses actions? - The clients family expects a pretty bed - Clients can develop sores and reddened areas - Most nurses come from a military background - Nurses should take pride in their work
B
The student nurse is shaving her clients facial hair as part of her AM care. After shaving, she wipes his face with a damp washcloth and dries his face thoroughly. Which procedure should she implement next? - Remove gloves and wash her hands - Inspect the face for areas that she may have missed - Apply aftershave lotion using a rubbing motion - Apply a warm, wet towel to face to make skin more pliable
B
Which intervention should the nurse implement if the gloves need adjustment to fit properly? - Remove the glove and obtain another glove to put on - Interlace the fingers of both hands - The nurse should make sure the gloves are right size prior to applying - Use the gloves without attempting to adjust to fit.
B
Which is a safety consideration the nurse should implement when providing oral hygiene to an unconscious client? - Place the client in a supine position - Use a padded tongue blade to open the client's mouth - Rinse the client's mouth with 30 ml's of water - Avoid brushing the teeth to prevent dislodging food particles and causing the client to aspirate.
B
Which statement indicates further teaching is needed in assisting clients with feeding? - Ask client in which order would they like to eat their food - Provide fluids after every 8-10 mouthfuls - Offer small portions of food to prevent risk of choking - Encourage client to feed self as much as possible
B
The nurse is assessing the client's radial pulse and notes that the pulse is skipping beats. Which action should the nurse implement? - Count the number of beats for 30 seconds and multiply by two (2) and report pulse - Auscultate the pulse with the stethoscope over the client's wrist and listen for the rhythm and strength of the pulse - Place the pads of middle finger on client's wrist and count for one (1) full minute - Ensure the client is in a left-lying position or forward-leaning position prior to assessing the pulse.
C
The nurse is assisting a client in the insertion of his contact lenses. Which action is included in the procedure? - Place lens directly over the sclera for proper fitting - Rinse lens with warm tap water before inserting to free the lens of debri - Ask client to blink after the insertion to determine proper placement - Place lens on index finger, insert lens if edges droop outward and downward
C
The nurse is observing the client ambulating with a walker. Which action by the client should warrant intervention by the nurse? - The client has both hands on the sides of the walker - The client is lifting the walker and moving it about one step length forward - The client takes small steps while moving the walker forward - The client has on comfortable, supportive shoes while walking.
C
The nurse is performing handwashing using a knee pedal. Which action should the nurse implement first? - Soap the hands thoroughly using circular movements - Wet the hands and lower arms under the running water - Turn the faucet so that warm water is running - Dry hands with paper towels.
C
The nurse is preparing for changing a clients linen while they are in surgery. Which action best complies with infection control guidelines? - Handing the linen to a family member - Keep linen at the foot of the bed - Placing linen on a clean surface near the bed - Placing the linen on the floor right by the door
C
The nurse is putting antiembolism stockings on the client. The client asks the nurse, "Why do I have to wear these tight socks?" Which response by the nurse is most appropriate? - The stocking will help keep your legs warm during surgery." - "You really should ask your health care provider to answer that question." - "These stockings will help prevent you from developing clots in your legs." - "They will help keep your blood thin so that you won't develop DVTs."
C
The nurse is teaching a client about her anti-embolism stockings. Which statement by the client demonstrates a need for additional teaching? - There should not be any wrinkles in my hose - My hose should fit snugly on my legs - If these hose start to irritate my thighs, I can roll them down a bit - I will remove these hose at least 2-3 a day
C
The student nurse is educating the client on the use of an abdominal binder following surgery. Which statement by the client shows a need for further education? - The abdominal binder will fit snugly around my mid-section - The abdominal binder prevents stress on my incision when I move - This abdominal binder holds my incision together - I should report any redness that develop under the binder
C
The client is embarrassed about letting the nurse clean the perineal area. Which statement would be the best response by the nurse? - Since you cannot clean yourself, we will just have to wait until you can take a bath in 3 days - I will get fired if I do not finish your bath - You risk getting ill with a nosocomial infection if you do not let me do my job - There are normal secretions that collect and help bacteria grows, so it is important to keep those areas clean
D
The nurse has just finished assisting her client with his meal. Which action should be implemented next? - Offer large amounts of fluids - Assist client in side-lying position - Restart the clients IV before leaving the room - Observe amount of food taken and how the client tolerated feeding
D
The nurse is assisting a client who suffered a stroke two months ago with his evening meal. Which intervention should the nurse implement first? - Provide a two handed cup to promote self feeding - Clear his over bed table so there is room for his tray - Provide a clean environment to increase the clients appetite - Assess clients ability to chew and swallow
D
The nurse is assisting a client with an intravenous line (IV) in the right forearm ambulate to the bathroom. Which intervention should the nurse implement? - Do not allow the client to touch the IV pole. - Disconnect the IV tubing from the IV catheter. - Offer the client a bedpan since the client has an IV. - Allow the client to hold on to IV pole when ambulating.
D
The nurse is caring for a 37 year old male client diagnosed with pneumonia. Which of his social factors has the greatest impact on his respiratory status? The client: - works in a large metropolitan area - grew up with parents that used marijuana - does not exercise and eats at fast food restaurants most of the time - has smoked a pack per day for 22 years.
D
The nurse is discussing hand washing with the staff. Which statement is accurate concerning the use of an alcohol-based hand rub? - Eliminates all microorganisms on the hands - Replaces soap and water in hand hygiene protocols - Applied to the hands, then the hands are held still until dry - Can be used to decontaminate hands that are not visibly soiled.
D
The nurse is preparing a sitz bath for a client that has had hemorrhoids removed. Which action by the nurse indicates further teaching? - The nurse instructs the client to remain in the sitz bath for 15-20 minutes to help ease rectal pain - The nurse instructs the client to report any dizzyness - The nurse fill the tub with 3 inches of warm water - The nurse instructs the client to rub the rectal area dry after 20 minutes in the bathtub
D
The nurse is providing oral care to a client. Which action should the nurse implement first? - Clean the biting surfaces while moving back and forth - Brush tongue gently with a toothbrush - Floss between the teeth starting with upper teeth first - Brush the teeth while holding the brush at a 45-degree angle
D
The nurse is watching a student nurse wash their hands. Which action would warrant immediate intervention by the nurse? The student nurse: - held the hands lower than the elbows while wetting the hands - rubbed both hands together using circular movements - spent 30 seconds when washing their hands - turned off the faucet with their bare hands.
D
The nurse knows that preventing cross contamination is important when bathing a client. Which method of using the washcloth supports that concept? - Changing washcloths each time a new part of the body is washed - Rinsing the cloth out frequently between strokes - Use a circular motion when cleaning a wound - Folding the cloth to prevent dragging
D
The nurse performing perineal care on a female client demonstrates proper hygiene principles when performing which cleansing motion? - Cleansing the thighs towards the clients private part - Re-using the washcloth to rub the labia - In a circular motion around the meatus - Wiping front to back with single strokes
D
The nurse walks into the client's room and notices that the urinal at the bedside has clear colored amber urine. Which action should the nurse implement first? - Empty the urine in the client's commode - Document on the I & O sheet - Rinse the urinal with water - Measure the amount of urine.
D
The student nurse is preparing to feed a client who is on aspiration precautions. Which of the following guidelines should the student implement? - Give fluids frequently to wash down food to decrease risk of choking - Place food at back of mouth and instruct client to tilt head - Replace client is a supine position after feeding is complete - Keep suction equipment readily available at the bedside
D
The student nurse is taking vital signs on the newly admitted client. Which intervention(s) should the nurse implement? Select all that apply. - Count the respirations for 30 seconds and multiply by 2. - Place the tympanic thermometer under the client's tongue. - Palpate the client's brachial pulse prior to taking the blood pressure. - Take the radial pulse for 15 seconds and multiply by 4. - Ensure the client had nothing cold or hot to eat or drink before taking the temperature.
1/3/4/5
If you have blood or potentially infectious materials splashed into your eye, you should flush with clean, running water for?
15 minutes
The nurse is preparing to perform a bed bath on a client and should complete which of the following actions? SATA - Plan to always perform care alone - Position the bed to a comfortable height for the nurse - Ensure the linens needed are at hands - Alter the room temperature to a level comfortable for the nurse - Cover client with bath blanket for privacy
2/3/5
The nurse is repositioning a client in low fowler's position. Which action should the nurse implement? - The client's head is elevated to 90 degrees - The client should be positioned prone - The client's knees are slightly bent - The client's trunk is positioned at a right angle to the bed.
C
A 90 year old man is admitted to a med surg floor after having a total hip replacement. What is the scientific rationale for applying anti-embolism stockings to his lower extremities? - To promote venous return - To promote venous stasis - To prevent skin breakdown - To decrease muscle spasms
A
If you are exposed to potentially infectious materials on the job, you may request a vaccine for which blood-borne disease? - Hepatitis B - HIV - Syphilis - Brucellosis
A
The 40 year-old client's blood pressure is 130/70 mm Hg in the left arm. Which action should the nurse implement? - Document the finding in the client's chart and take no action - Notify the charge nurse of the abnormal reading - Reassess the client's blood pressure in 15 minutes - Take the blood pressure in the right arm to verify the results.
A
The 55-year old client's radial pulse is 110 beats per minute. Which action should the student nurse implement first? - Assess the client to determine the reason why pulse is elevated - Notify the charge nurse that the pulse is elevated - Take no action since this pulse is within normal limits - Attempt to calm the client and take pulse again in one hour.
A
When assessing a client's respiration, the nurse should make sure the client does not realize that the respirations are being assessed. Which scientific rationale is most appropriate for this intervention? - The client may alter the respirations or concentrate on them which may alter the natural count - The nurse may not obtain the correct respiratory rate if the client is observing the nurse assessing the respirations - The client should be relaxed and quiet therefore the nurse should make sure the client doesn't realize the respirations are being counted - The nurse must be able to hear the sounds in the stethoscope therefore the client must not realize the respirations are being assessed.
A
When providing oral care to the unconscious client, the side-lying position is preferred because of which of the following rationales? - Prevent aspiration of fluids - Makes the client more comfortable - Drains fluids from the oral cavity - Allows the client to participate better with his care
A
Which statement best demonstrates the proper procedure for shaving a male clients facial hair ? - Hold the safety razor with dominant hand and shave in short, even strokes - Hold skin taut with dominant hand to prevent cutting the skin - Shave with short, firm strokes against the direction of hair growth - Hold the safety razor at a 90 degree angle to decrease irritation
A
The nurse knows which client would benefit most from having a back massage? - A client who is sensitive to touch - Client with measles - A client in rehab for muscle strain - The post MVA with rib fractures
C
When making an occupied bed for a diabetic client with a history of impaired skin integrity, which of the following should considered in the basic care of this client? SATA - Asses clients skin during repositioning - Make sure all linens are smooth and tight - Creating a toe pleat when changing linen - Protecting skin and bony prominences during the linen change - Make sure linens are dry
All of them are correct
A below the knee cast has been applied to a client's right leg. Which statement indicates to the nurse that the discharge teaching has been effective regarding cast care? - "If my leg starts to itch, I can slide a pencil in the cast to scratch." - "I should report any numbness or tingling to my health care provider." - "I need to elevate my ankle for the first week to keep the edema down." - "I need to apply pressure to the cast for the first 24 hours to ensure a tight fit."
B
A client had an abdominal surgery on the day shift. When the night shift nurse starts her assessment, which of the following data lets her know the abdominal binder has been applied correctly? - The binder is placed over the lower ribs - The client is able to cough and deep breathe effectively - The client feels excessive pressure on the incision - The velcro closure is over the center of the spine
B
The UAP is applying an abdominal binder to a client who has had abdominal surgery. Which action by the unlicensed assistive personnel (UAP) would warrant intervention by the nurse? - The UAP secured the Velcro binder securely around the abdomen. - The UAP instructed the client to take a deep breath when applying the binder. - The UAP ensured the abdominal dressing is dry and intact. - The UAP has placed the client in the supine position.
B
The client asks the nurse "Why do I need to take a cool water bath?" Which response by the nurse would be most appropriate? - "The cool water bath softens and lubricates dry skin." - "The cool water bath is used to decrease fever." - "The bath is used to relieve muscle spasm and muscle tension." - "The bath helps decrease pain and inflammation after rectal surgery."
B
The client had right leg surgery 2 days ago and the nurse aide is applying a heating pad to the surgical area. Which intervention should the nurse implement first? - Assist the nurse aide in applying the heating pad - Instruct the nurse aide to remove the heating pad from the right leg - Notify the health care provider that heat was applied to the surgical site - Explain to the nurse aide that cold therapy should be applied to leg.
B
The elderly client on bed rest diagnosed with pneumonia is requesting a bedpan. Which action should the nurse implement? - Place a fracture bedpan under the client - Use a regular plastic bedpan when assisting the client - Encourage the client to ambulate to the bathroom - Bring a bedside commode and assist the client.
B
The nurse demonstrates safety concerns for the unconscious client with oxygen when performing oral care by which action? - Placing the client in a flat side lying position - Applying water-soluble lubricant to the lips - Orally suction the mouth - Teaching the family how to apply petroleum jelly to the lips
B
The nurse is applying an ice pack on a clients swollen ankle. Which action should the nurse implement? - Apply the ice pack for one hour and off for 20 minutes - Remove the ice pack after 15 minutes to prevent cold injury - Place the ice pack directly onto the clients ankle - Leave the ice pack on for 30 minutes at a time to prevent cold injury
B
The nurse is fitting the client for crutches. Which pathological complication may occur if the crutches are not the correct length? - Brachial plexus paralysis - Axillary nerve damage - Shoulder dislocation - The client could fall.
B
The student nurse is shampooing her clients hair in bed. She has wet the hair thoroughly using warm water. Which procedure should she implement next? - Squeeze as much water as possible out of hair with her hands to remove excess moisture - Apply shampoo to scalp working from the neck to the hairline - Apply shampoo and massage scalp with the pads of her fingers - Don gloves to prevent the spread of microorganisms
C
The client has a foley catheter and the nurse completing the perineal care remembers to implement which action? - Change gloves between every cleansing motion - Clean the catheter only after cleaning the anal area - Use gentle wiping motions away from the meatus - Avoid cleaning the catheter
C
The client has been diagnosed with influenza and has been placed on droplet precautions. Which personal protective equipment should the nurse use when caring for this client? - Place the client in a negative air pressure room - Wear an impermeable gown - Wear a standard isolation mask - Wear non-sterile gloves at all times
C
The nurse and the unlicensed assistive personnel (UAP) are caring for a group of clients. Which task would be inappropriate for the nurse to delegate to the UAP? - Instruct the UAP to take the vital signs on a newly admitted client - Tell the UAP to take a client's height and weight - Ask the UAP to clean a clien'ts commode - Request the UAP to bathe a client who is to be discharged.
C
The nurse has completed applying a figure-eight ACE bandage to the client's right knee. Which data would warrant intervention by the nurse? - The client can place one finger under the bandage. - The client is able to bend the knee back and forth. - The client complains of numbness and tingling of the right foot. - The client reports a decrease in the pain level.
C
When ambulating a client to the bathroom the client tells the nurse, "I am going to fall." and begins to fall. Which action should the nurse take first? - Get the client back to the bed. - Move the nurse's stronger leg in front - Help the client safely to the floor - Call for assistance.
C
Which action should the nurse implement when brushing a clients teeth? - Direct bristles from crown of tooth to gum line - Brush teeth while client is in a supine position - Clean biting surfaces using short strokes back and forth - Use a rotating motion at a 45-degree angle while brushing
C
Which client should not be delegated to unlicensed assistive personnel (UAP)? - The elderly diabetic client that does not feel like eating - The client in traction that can not reach the tray - The client who has had a stroke and has difficulty swallowing - The client that complains that hospital food is unpalatable.
C
Which intervention has the highest priority when attempting to prevent nosocomial infections? - Wear personal protective equipment at all times - Do not come to work if the nurse has a cold or infection - Wash hands prior to work and between caring for clients - Assume that all clients have acquired immune deficiency syndrome (AIDS).
C
Which nursing task should the nurse delegate to the unlicensed assistive personnel (UAP)? - Measure the client for crutches - Take vital signs on an unstable client - Place an ice bag on the client's right ankle - Assess the client's bowel sounds.
C
Which procedure should be implemented after dentures have been cleaned? - Replace dentures one at a time, starting with the front teeth - Soak dentures in hot water to remove food particles - Insert dentures using one edge at a 45-degree angle to open mouth - Store dentures in a denture cup without water to prevent corrosion
C
Which statement indicates further teaching on the proper procedure for shaving a male client's facial hair is needed for the unlicensed assistive personnel? - Hold safety razor at a 45 degree angle to decrease irritation to the skin - Hold razor with dominant hand - Shave in the direction opposite of hair growth - Apply warm, wet towel to face prior to shaving to soften bristles.
C
A diabetic client has just returned from the operating room following a below the knee amputation. When performing the dressing change, which type of bandage technique is most effective for stump care? - Figure 8 - Circular - Spiral - Recurrent
D
Bloodborne pathogens may enter your system through? - Open cuts - Skin abrasions - Dermatitis - All of the above
D
In order to keep the unconscious clients mouth open for oral care, the nurse should implement which action first? - Ask another nurse to assist - Flex the head forward on a pillow - Used a gloved hand to keep jaws open - Use padded tongue blades
D
The client refuses their bath. Which response by the nurse would be most appropriate? - Maybe we can tomorrow - Fine just be filthy - Okay the next shift can do it - A bath will make you feel better
D
The student nurse is preparing to shampoo her clients hair in bed. Which procedure should be implemented in her preparation? - Place water receptacle at the level of the client close to the head of the bed to catch water - Place the shampoo board or inflatable basin under the clients shoulders - Place the client in a side-lying position - Place washcloth over clients eyes to protect from irritation of soapy water
D
The unlicensed assistive personnel (UAP) is transferring a client from the bed into a wheelchair. Which action would indicate further teaching is needed? - Lock bed brakes and lower bed to lowest position - Position client in side-lying/lateral position before sitting up on side of bed - Keep back straight and avoid twisting when supporting client's trunk and shoulders - Lower head of bed before sitting client up.
D
When performing perineal care to a client, the nurse should remember to implement which action? - Request the client to not void for one hour prior to the procedure - Utilize special soaps and hot water for cleaning - Keep the head of the bed in an upright position - Minimize exposure and provide warmth
D
When performing perineal care to an uncircumcised male client, the nurse remembers to complete the procedure by implementing which action? - Apologize to the client for invading their privacy - Retract the foreskin to allow the glans penis to air-dry - Throwing q-tips in the toilet - Replacing the foreskin after cleansing the glans penis
D
Which is an important safety tool for the nurse to use whenever ambulating a client? - Crutches - Wheelchair - Cane - Gait Belt
D
Which of the following could contain blood-borne pathogens?\ - Bloody saliva - Semen - Vaginal Secretions - All of the above
D
Which statement by the student nurse indicates the need for further teaching on the removal of dentures prior to cleaning? - I pull down gently on the upper plate to break the suctions that holds it to the top of the mouth - I remove the lower plate by lifting up and out - I assess first to determine if the client can remove the dentures - I remove the upper plate first, by using my thumbs and gauze to prevent slipping
D
Which statement is the scientific rationale for nurse holding soiled linen away from the body? - It keeps from getting feces or blood on the uniform - It conserves time and energy by reducing movement required - It is not necessary to bag the linen if linens are held away from the body - It prevents the spread of microorganisms from person to person.
D
Which type of ambulatory aid should the emergency room nurse teach the client who has sustained a fractured leg to use? - Lofstrand crutches. - A walker. - A quad cane. - Axillary crutches.
D
If you wear gloves when cleaning up an accident site, it is not necessary to wash your hands afterwards. T/F
False
Uncontaminated sharps may be disposed of in regular trash cans. T/F
False
A quarter cup of household bleach to one gallon of water provides a strong enough solution to effectively decontaminate most surfaces, tools, and equipment if left for 10 minutes. T/F
True
Needles should never be recapped. T/F
True
You should always treat all body fluids as if they are infectious and avoid skin contact with them. T/F
True
You should never eat, drink, or smoke in an area where there may be a potential for exposure to bloodborne pathogens. T/F
True
